Systematic Review on the Use of Biosimilars of Trastuzumab in HER2+ Breast Cancer

Trastuzumab is a monoclonal antibody used in the treatment of breast cancer in cases where the tumor overexpresses the HER2 receptor, a cell membrane receptor activated by the epidermal growth factor. Intravenous and subcutaneous administration of trastuzumab have comparable clinical and pharmacolog...

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Main Authors: Eleni Triantafyllidi, John K. Triantafillidis
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/8/2045
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author Eleni Triantafyllidi
John K. Triantafillidis
author_facet Eleni Triantafyllidi
John K. Triantafillidis
author_sort Eleni Triantafyllidi
collection DOAJ
description Trastuzumab is a monoclonal antibody used in the treatment of breast cancer in cases where the tumor overexpresses the HER2 receptor, a cell membrane receptor activated by the epidermal growth factor. Intravenous and subcutaneous administration of trastuzumab have comparable clinical and pharmacological characteristics, but trastuzumab biosimilars are currently only available in intravenous form. Trastuzumab biosimilars are ultimately preferred by a proportion of patients, especially in cases where co-administration of other chemotherapeutic agents, such as trastuzumab and tucatinib, a small molecule of tyrosine kinase inhibitor, is required in patients with HER-positive metastatic breast cancer. Oncologists should be well-aware of the advantages of intravenously administered trastuzumab biosimilars over subcutaneous administration, certainly also taking into account the patient’s preferences. Further cost-effectiveness analyses will be very important, along with expectations regarding successful concomitant subcutaneous administration of trastuzumab with other anticancer drugs, such as pertuzumab. This systematic review describes and analyzes the so-far published studies concerning the use of the available trastuzumab biosimilars in HER-positive early and metastatic breast cancer in terms of efficacy, safety, and cost–benefit ratio. An attempt was also made to draw some conclusions and to comment on future needs and perspectives.
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spelling doaj.art-089758d5c8bd4ae39854260bf58bbcdf2023-12-03T13:22:18ZengMDPI AGBiomedicines2227-90592022-08-01108204510.3390/biomedicines10082045Systematic Review on the Use of Biosimilars of Trastuzumab in HER2+ Breast CancerEleni Triantafyllidi0John K. Triantafillidis1Hellenic Society of Gastrointestinal Oncology, 354, Iera Odos Street, Haidari, 12461 Athens, GreeceMetropolitan General Hospital, 15562 Holargos, GreeceTrastuzumab is a monoclonal antibody used in the treatment of breast cancer in cases where the tumor overexpresses the HER2 receptor, a cell membrane receptor activated by the epidermal growth factor. Intravenous and subcutaneous administration of trastuzumab have comparable clinical and pharmacological characteristics, but trastuzumab biosimilars are currently only available in intravenous form. Trastuzumab biosimilars are ultimately preferred by a proportion of patients, especially in cases where co-administration of other chemotherapeutic agents, such as trastuzumab and tucatinib, a small molecule of tyrosine kinase inhibitor, is required in patients with HER-positive metastatic breast cancer. Oncologists should be well-aware of the advantages of intravenously administered trastuzumab biosimilars over subcutaneous administration, certainly also taking into account the patient’s preferences. Further cost-effectiveness analyses will be very important, along with expectations regarding successful concomitant subcutaneous administration of trastuzumab with other anticancer drugs, such as pertuzumab. This systematic review describes and analyzes the so-far published studies concerning the use of the available trastuzumab biosimilars in HER-positive early and metastatic breast cancer in terms of efficacy, safety, and cost–benefit ratio. An attempt was also made to draw some conclusions and to comment on future needs and perspectives.https://www.mdpi.com/2227-9059/10/8/2045biosimilarsbreast cancercostmonoclonal antibodiestrastuzumabtreatment
spellingShingle Eleni Triantafyllidi
John K. Triantafillidis
Systematic Review on the Use of Biosimilars of Trastuzumab in HER2+ Breast Cancer
Biomedicines
biosimilars
breast cancer
cost
monoclonal antibodies
trastuzumab
treatment
title Systematic Review on the Use of Biosimilars of Trastuzumab in HER2+ Breast Cancer
title_full Systematic Review on the Use of Biosimilars of Trastuzumab in HER2+ Breast Cancer
title_fullStr Systematic Review on the Use of Biosimilars of Trastuzumab in HER2+ Breast Cancer
title_full_unstemmed Systematic Review on the Use of Biosimilars of Trastuzumab in HER2+ Breast Cancer
title_short Systematic Review on the Use of Biosimilars of Trastuzumab in HER2+ Breast Cancer
title_sort systematic review on the use of biosimilars of trastuzumab in her2 breast cancer
topic biosimilars
breast cancer
cost
monoclonal antibodies
trastuzumab
treatment
url https://www.mdpi.com/2227-9059/10/8/2045
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